COVID Online book of remembrance - submission form

Please complete the form below to add your loved one to our COVID Online book of remembrance.

Data Protection and Privacy Statement

* = must be completed

Details of deceased

Please just enter the year in numbers - eg: 1950

Enter your tribute text here - please keep this short and to a maximum of 50 words.

Photo upload

Please upload a photo here. This is optional.

Photo upload

Your details